Evidence map›Paper›PMID 39349839›Full record

ReviewLangenbeck's archives of surgery2024

Key points of surgical anatomy for endoscopic thyroidectomy via a gasless unilateral axillary approach.

Kexin Meng, Ying Xin, Zhuo Tan, Jiajie Xu, Xiaoliang Chen, Jincong Gu, Parikh Nikhilkumar Jagadishbhai, Chuanming Zheng

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Langenbeck's archives of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kexin Meng *Otolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, 158 Shangtang Road, Hangzhou, 310014, Zhejiang, China.
Ying Xin *Otolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, 158 Shangtang Road, Hangzhou, 310014, Zhejiang, China.
Zhuo TanOtolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, 158 Shangtang Road, Hangzhou, 310014, Zhejiang, China.
Jiajie XuOtolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, 158 Shangtang Road, Hangzhou, 310014, Zhejiang, China.
Xiaoliang ChenDepartment of Thyroid, Breast & Hernia Surgery, Tiantai People's Hospital of Zhejiang Province, Tiantai Branch of Zhejiang Provincial People's Hospital, Hangzhou Medical College, Taizhou, 317200, Zhejiang, China.
Jincong GuDepartment of Thyroid and Breast Surgery, Zhejiang Southeast Campus of Zhejiang Provincial People's Hospital, Xianju People's Hospital, Affiliated Xianju's Hospital, Hangzhou Medical College, Xianju, 317300, Zhejiang, China.
Parikh Nikhilkumar JagadishbhaiZhejiang Chinese Medical University, Hangzhou, 310053, Zhejiang, China.
Chuanming ZhengOtolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, 158 Shangtang Road, Hangzhou, 310014, Zhejiang, China. mingdoc@163.com.

Funding

General Scientific Research Project of Education Department of Zhejiang Province Y202146111General Scientific Research Project of Education Department of Zhejiang Province Y202352347National Natural Science Foundation of China 82372618Traditional Chinese Medicine Science and Technology Project of Zhejiang Province 2021ZA013
6 · The paper itself

Abstract

purposeEndoscopic thyroidectomy utilizing the Gasless Unilateral Axillary Approach (GUA) offers distinct advantages including clear visibility, simple manipulation, safe oncological outcomes. This technique eliminates postoperative neck scarring, ensures concealed surgical incisions, and minimizes postoperative swallowing discomfort.

methodsWe retrospectively reviewed 150 surgical videos to document key anatomical features and their variations during this procedure.

resultsThe GUA endoscopic thyroidectomy, which approaches from the contralateral side, presents significant difficulties in identifying anatomical structures, especially anatomical abnormalities in the contralateral neck, while constructing feasible operative fields. This article offers an in-depth discussion of the anatomical challenges, pitfalls, and viable strategies associated with this surgery, particularly for less experienced surgeons.

conclusionsGiven the intricate interplay of muscular, vascular, and neural anatomical structures, novices in surgery must be well-acquainted with the underlying anatomy to minimize potential complications.

Indexed as

AxillaEndoscopyThyroidectomyFemaleHumansMaleRetrospective StudiesEndoscopic thyroidectomyGasless unilateral axillary approachSurgical anatomy

Identifiers

PMID39349839
PMCPMC11442671

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.